| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.20 | $74.20 | $129.85 | |
Aetna
| Professional | $71.52 | $74.20 | $74.20 | |
Cigna
| Facility | $75.98 | $75.98 | $75.98 | |
Cigna
| Professional | $75.98 | $75.98 | $75.98 | |
Lucent Health
| Facility | $89.40 | $384.55 | $384.55 | |
United
| Professional | $74.50 | $74.50 | $75.98 |